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Contribution

Nonurographic evaluation of renal calculous disease

Gregory P. Borkowski, M.D., Craig R. George, M.D. and Peter B. O’Donovan, M.D.
Cleveland Clinic Journal of Medicine March 1985, 52 (1) 3-9;
Gregory P. Borkowski
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Craig R. George
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Peter B. O’Donovan
Department of Radiology, The Cleveland Clinic Foundation.
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ABSTRACT

While excretory urography has been useful in the evaluation of patients with renal calculi, it does have certain limitations. These include (a) poor differentiation of calculi from other causes of radiolucent filling defects within the renal collecting system, (b) poor visualization because of decreased renal function, and (c) possible contraindication in patients with a history of significant allergic reaction. Computed tomography (CT) and ultrasound are noninvasive techniques which have proved to be useful in the evaluation of nonopaque calculi. The greater density discrimination of CT allows stones to be visualized as areas of increased density without the need for intravenous contrast material. On ultrasound, calculi appear as echogenic areas with posterior acoustical shadowing. These imaging modalities have also been useful for preoperative assessment of the position of renal calculi, intraoperative localization of calculi, and determination of the response of a calculus to dissolution therapy.

Index terms
  • Kidney calculi
  • Kidney
  • computed tomography
  • Kidney
  • ultrasound studies
  • Received July 1984.
  • Accepted November 1984.
  • Copyright © 1985 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 52 (1)
Cleveland Clinic Journal of Medicine
Vol. 52, Issue 1
20 Mar 1985
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Nonurographic evaluation of renal calculous disease
Gregory P. Borkowski, Craig R. George, Peter B. O’Donovan
Cleveland Clinic Journal of Medicine Mar 1985, 52 (1) 3-9;

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Nonurographic evaluation of renal calculous disease
Gregory P. Borkowski, Craig R. George, Peter B. O’Donovan
Cleveland Clinic Journal of Medicine Mar 1985, 52 (1) 3-9;
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Keywords

  • Kidney Calculi
  • Kidney
  • Computed Tomography
  • ultrasound studies

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